Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.98 / $848.55 / $1,136.79	Professional		$739.98	$848.55	$1,136.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $7,614.56 / $7,614.56	Facility		$148.60	$7,614.56	$7,614.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $812.25 / $1,100.00 / $1,781.96	Professional		$812.25	$1,100.00	$1,781.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $1,042.44	Facility		$1,042.44	$1,042.44	$1,042.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $886.07 / $1,672.50	Professional		$125.94	$886.07	$1,672.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $169.71 / $169.71	Professional		$60.00	$169.71	$169.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,366.10 / $2,841.99 / $2,882.34	Facility		$2,366.10	$2,841.99	$2,882.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,366.10 / $2,841.99 / $2,882.34	Professional		$2,366.10	$2,841.99	$2,882.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $148.60 / $148.60	Facility		$148.60	$148.60	$148.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,408.71 / $1,408.71 / $1,905.89	Professional		$1,408.71	$1,408.71	$1,905.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $114.60 / $139.54	Professional		$114.60	$114.60	$139.54
United Facility/Professional Professional Modifier Low / Median / High Price $571.22 / $714.14 / $1,190.24	Professional		$571.22	$714.14	$1,190.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $881.90 / $881.90 / $881.90	Professional		$881.90	$881.90	$881.90